The Ducallier Studios

Secure Cheque / Wire Transfer Order Form

 
Aftermath... is the 271st watercolour in the series

$2,250,000 USD.

This form is used to acquire the above collection the Work Master's 530 Watercolours of the "Coming Home Series of the Traveller", and the transaction will be deposited and held in an escrow trust account with our financial institution until finalized.

Please make a copy of this page through your browser's "save-as" or "favourites" feature for your records.

Otherwise, if you are transacting a large acquisition or you simply prefer not to use a Credit Card, please use this form.

YOUR E-MAIL ADDRESS MUST BE USED
IN ORDER TO USE THIS FORM

    Your e-mail address:

     Name:

             Address:

             Town or City:

             State:    

             Country:

             Zip or Postal Code:

             Telephone Number:

Any special instructions can be noted here.

eCheck Payment Details

This form can only be used with
Cheque or Money Order Wire Transfer payments.

It takes on an average 24 hours to process the your information

This time period could vary depending upon the load on the system.

All fields are required.

Bank Information On Cheque (Please fill out completely)
US Funds Only

             >Personal Cheque
             >Business Cheque
             >Letter of Credit
             > Bearer Bond

             Bank Name:  

             Bank’s Address 1:  
                        Address 2:    

             Town/City:  

             State:

             Country:

                ZIP/ Postal Code:  

             Bank Telephone:  

The actual bank code ( ABA ) number is usually on the top right hand corner - and read top numbers first (22-33) with a back-slash, " / " then bottom numbers (555) as shown in photo.

ABA Number:

Cheque Number:

Routing and account numbers across bottom of cheque.

Separate Groups With (-) from left to right.

Example: 123456789-1234-1234567

Routing Number:

Account Number:

Any special banking instructions on funds transfer:

Courior / Handling costs will be added on

Insert TOTAL Funds Submitted $ USD

By sending this form you are CONSENTING and AGREE that Ducallier Studios use an electronic Bank Draft for this purchase of the "the Works Master's 530 original water colours of the "Coming Home Series of the Traveller".

Just One more thing !

This is the priority order form, no other method is quicker.

To review the entire collection of 530 watercolours of the Traveller click here

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London Ontario Canada

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